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This guidance is an update of WHO global influenza preparedness plan: the role of WHO and recommendations for national measures before and during pandemics, published March 2005 (WHO/CDS/CSR/GIP/2005.5).
When communities face complex public health emergencies, state local, tribal, and territorial public health agencies must make difficult decisions regarding how to effectively respond. The public health emergency preparedness and response (PHEPR) system, with its multifaceted mission to prevent, protect against, quickly respond to, and recover from public health emergencies, is inherently complex and encompasses policies, organizations, and programs. Since the events of September 11, 2001, the United States has invested billions of dollars and immeasurable amounts of human capital to develop and enhance public health emergency preparedness and infrastructure to respond to a wide range of public health threats, including infectious diseases, natural disasters, and chemical, biological, radiological, and nuclear events. Despite the investments in research and the growing body of empirical literature on a range of preparedness and response capabilities and functions, there has been no national-level, comprehensive review and grading of evidence for public health emergency preparedness and response practices comparable to those utilized in medicine and other public health fields. Evidence-Based Practice for Public Health Emergency Preparedness and Response reviews the state of the evidence on PHEPR practices and the improvements necessary to move the field forward and to strengthen the PHEPR system. This publication evaluates PHEPR evidence to understand the balance of benefits and harms of PHEPR practices, with a focus on four main areas of PHEPR: engagement with and training of community-based partners to improve the outcomes of at-risk populations after public health emergencies; activation of a public health emergency operations center; communication of public health alerts and guidance to technical audiences during a public health emergency; and implementation of quarantine to reduce the spread of contagious illness.
Public Health Law, first published in 2000, has been widely acclaimed as the definitive statement on public health law at the start of the twenty-first century. Lawrence O. Gostin's definition was based on the notion that government bears a responsibility for advancing the health and well-being of the general population, and the book developed a rich understanding of the government's powers and duties while showing law to be an effective tool in the realization of a healthier and safer population. In this second edition, Gostin analyzes the major health threats of our times, from emerging infectious diseases and bioterrorism to chronic diseases caused by obesity.
The United States and the world were unprepared for the COVID-19 pandemic, despite decades of warnings highlighting the inevitability of global pandemics and the need for international coordination. The failure to prioritize and adequately fund preparedness and effectively implement response plans has exacted a heavy human and economic price, and the crisis is not yet over. Emerging and reemerging infectious diseases are a threat to global and national security that neither the United States nor the world can afford to ignore. This Task Force proposes a comprehensive strategy that includes institutional reforms and policy innovations to help the United States and the multilateral system perform better in this crisis and when the next one emerges. Without increased U.S. leadership on and adequate investment in pandemic preparedness and response, the United States and the world will remain unnecessarily vulnerable to epidemic threats. The Council on Foreign Relations sponsors Independent Task Forces to assess issues of current and critical importance to U.S. foreign policy and provide policymakers with concrete judgments and recommendations. Diverse in backgrounds and perspectives, Task Force members aim to reach a meaningful consensus on policy through private deliberations. Once launched, Task Forces are independent of CFR and are solely responsible for the content of their reports. Task Force members are asked to join a consensus signifying that they endorse the general policy thrust and judgments reached by the group, though not necessarily every finding and recommendation. Each Task Force member also has the option of putting forward an additional or a dissenting view.
An effective democratic society depends on the confidence citizens place in their government. Payment of taxes, acceptance of legislative and judicial decisions, compliance with social service programs, and support of military objectives are but some examples of the need for public cooperation with state demands. At the same time, voters expect their officials to behave ethically and responsibly. To those seeking to understand—and to improve—this mutual responsiveness, Trust and Governance provides a wide-ranging inquiry into the role of trust in civic life. Trust and Governance asks several important questions: Is trust really essential to good governance, or are strong laws more important? What leads people either to trust or to distrust government, and what makes officials decide to be trustworthy? Can too much trust render the public vulnerable to government corruption, and if so what safeguards are necessary? In approaching these questions, the contributors draw upon an abundance of historical and current resources to offer a variety of perspectives on the role of trust in government. For some, trust between citizens and government is a rational compact based on a fair exchange of information and the public's ability to evaluate government performance. Levi and Daunton each examine how the establishment of clear goals and accountability procedures within government agencies facilitates greater public commitment, evidence that a strong government can itself be a source of trust. Conversely, Jennings and Peel offer two cases in which loss of citizen confidence resulted from the administration of seemingly unresponsive, punitive social service programs. Other contributors to Trust and Governance view trust as a social bonding, wherein the public's emotional investment in government becomes more important than their ability to measure its performance. The sense of being trusted by voters can itself be a powerful incentive for elected officials to behave ethically, as Blackburn, Brennan, and Pettit each demonstrate. Other authors explore how a sense of communal identity and shared values make citizens more likely to eschew their own self-interest and favor the government as a source of collective good. Underlying many of these essays is the assumption that regulatory institutions are necessary to protect citizens from the worst effects of misplaced trust. Trust and Governance offers evidence that the jurisdictional level at which people and government interact—be it federal, state, or local—is fundamental to whether trust is rationally or socially based. Although social trust is more prevalent at the local level, both forms of trust may be essential to a healthy society. Enriched by perspectives from political science, sociology, psychology, economics, history, and philosophy, Trust and Governance opens a new dialogue on the role of trust in the vital relationship between citizenry and government. A Volume in the Russell Sage Foundation's Series on Trust.
The Policy Design Primer is a concise and practical introduction to the principles and elements of policy design in contemporary governance. Guiding students through the study of the instruments used by governments in carrying out their tasks, adapting to, and altering their environments, this book: Examines the range of substantive and procedural policy instruments that together comprise the toolbox from which governments select specific tools expected to resolve policy problems, Considers the principles behind the selection and use of specific types of instruments in contemporary government, Addresses the issues of instrument mixes and their (re)design in a discussion of the future research agenda of policy design and Discusses several current trends in instrument use often linked to factors such as globalization and the increasingly networked nature of modern society. This readily digestible and informative book provides a comprehensive overview of this essential component of modern governance, featuring helpful definitions of key concepts and further reading. This book is essential reading for all students of public policy, administration and management as well as more broadly for relevant courses in health, social welfare, environment, development and local government, in addition to those managers and practitioners involved in Executive Education and policy design work on the ground.
Manski argues that public policy is based on untrustworthy analysis. Failing to account for uncertainty in an uncertain world, policy analysis routinely misleads policy makers with expressions of certitude. Manski critiques the status quo and offers an innovation to improve both how policy research is conducted and how it is used by policy makers.
Now revised and expanded to cover today’s most pressing health threats, Public Health Law and Ethics probes the legal and ethical issues at the heart of public health through an incisive selection of government reports, scholarly articles, and relevant court cases. Companion to the internationally acclaimed text Public Health Law: Power, Duty, Restraint, this reader can also be used as a stand-alone resource for students, practitioners, scholars,and teachers. It encompasses global issues that have changed the shape of public health in recent years including anthrax, SARS, pandemic flu, biosecurity, emergency preparedness, and the transition from infectious to chronic diseases caused by lifestyle changes in eating and physical activity. In addition to covering these new arenas, it includes discussion of classic legal and ethical tensions inherent to public health practice, such as how best to balance the police power of the state with individual autonomy.
This open access book discusses individual, collective, and institutional responsibilities with regard to vaccination from the perspective of philosophy and public health ethics. It addresses the issue of what it means for a collective to be morally responsible for the realisation of herd immunity and what the implications of collective responsibility are for individual and institutional responsibilities. The first chapter introduces some key concepts in the vaccination debate, such as ‘herd immunity’, ‘public goods’, and ‘vaccine refusal’; and explains why failure to vaccinate raises certain ethical issues. The second chapter analyses, from a philosophical perspective, the relationship between individual, collective, and institutional responsibilities with regard to the realisation of herd immunity. The third chapter is about the principle of least restrictive alternative in public health ethics and its implications for vaccination policies. Finally, the fourth chapter presents an ethical argument for unqualified compulsory vaccination, i.e. for compulsory vaccination that does not allow for any conscientious objection. The book will appeal to philosophers interested in public health ethics and the general public interested in the philosophical underpinning of different arguments about our moral obligations with regard to vaccination.
How to better coordinate policies and public services across public sector organizations has been a major topic of public administration research for decades. However, few attempts have been made to connect these concerns with the growing body of research on biases and blind spots in decision-making. This book attempts to make that connection. It explores how day-to-day decision-making in public sector organizations is subject to different types of organizational attention biases that may lead to a variety of coordination problems in and between organizations, and sometimes also to major blunders and disasters. The contributions address those biases and their effects for various types of public organizations in different policy sectors and national contexts. In particular, it elaborates on blind spots, or ‘not seeing the not seeing’, and different forms of bureaucratic politics as theoretical explanations for seemingly irrational organizational behaviour. The book’s theoretical tools and empirical insights address conditions for effective coordination and problem-solving by public bureaucracies using an organizational perspective.